Additive effect of latanoprost and dorzolamide in patients with elevated intraocular pressure

To evaluate the additive ocular hypotensive effect of latanoprost and dorzolamide in combination, on intraocular pressure reduction in patients with elevated intraocular pressure (IOP). Thirty patients with ocular hypertension or early capsular or primary open-angle glaucoma and elevated IOP were ra...

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Veröffentlicht in:International ophthalmology 1998, Vol.22 (1), p.37
Hauptverfasser: Kimal Arici, M, Topalkara, A, Güler, C
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Topalkara, A
Güler, C
description To evaluate the additive ocular hypotensive effect of latanoprost and dorzolamide in combination, on intraocular pressure reduction in patients with elevated intraocular pressure (IOP). Thirty patients with ocular hypertension or early capsular or primary open-angle glaucoma and elevated IOP were randomly assigned to two parallel treatment groups. The treatment period was twenty days. Fifteen patients (Group 1) received latanoprost once daily during the first ten days and, in addition, dorzolamide three times daily during the second ten days. Fifteen patients (Group 2) received dorzolamide three times daily during the first ten days and, in addition latanoprost, once daily during the second ten days. IOP was measured and conjunctival hyperemia was evaluated. In Group 1, the mean IOP on day 0 was 26.8 mm Hg; on day 10, 18.7 mm Hg; and on day 20, 15.9 mm Hg. In Group 2, the mean IOP on day 0 was 26.3 mm Hg; on day 10, 21.2 mm Hg; and on day 20, 16.1 mm Hg. Both groups had clinically significant IOP-lowering effect on day 10 as compared with baseline day (30.2% and 19.4% respectively) (p
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Thirty patients with ocular hypertension or early capsular or primary open-angle glaucoma and elevated IOP were randomly assigned to two parallel treatment groups. The treatment period was twenty days. Fifteen patients (Group 1) received latanoprost once daily during the first ten days and, in addition, dorzolamide three times daily during the second ten days. Fifteen patients (Group 2) received dorzolamide three times daily during the first ten days and, in addition latanoprost, once daily during the second ten days. IOP was measured and conjunctival hyperemia was evaluated. In Group 1, the mean IOP on day 0 was 26.8 mm Hg; on day 10, 18.7 mm Hg; and on day 20, 15.9 mm Hg. In Group 2, the mean IOP on day 0 was 26.3 mm Hg; on day 10, 21.2 mm Hg; and on day 20, 16.1 mm Hg. Both groups had clinically significant IOP-lowering effect on day 10 as compared with baseline day (30.2% and 19.4% respectively) (p&lt;0.01). When dorzolamide was added to latanoprost, the additional IOP reduction was 2.8 mm Hg (15%) (p&lt;0.01) compared with 5.1 mm Hg (24.1%) (p&lt;0.01) when latanoprost was added to dorzolamide. No local serious adverse reactions were observed. A mild but statistically significant increase in conjunctival hyperemia was seen in latanoprost applied patients. The results showed that latanoprost and dorzolamide can be combined successfully to reduce IOP with their additive effects.</description><identifier>ISSN: 0165-5701</identifier><identifier>DOI: 10.1023/A:1006176713983</identifier><identifier>PMID: 10090447</identifier><language>eng</language><publisher>Netherlands</publisher><subject>Adult ; Carbonic Anhydrase Inhibitors - administration &amp; dosage ; Carbonic Anhydrase Inhibitors - therapeutic use ; Cross-Over Studies ; Drug Synergism ; Drug Therapy, Combination ; Exfoliation Syndrome - drug therapy ; Female ; Follow-Up Studies ; Glaucoma, Open-Angle - drug therapy ; Humans ; Intraocular Pressure - drug effects ; Male ; Middle Aged ; Ocular Hypertension - drug therapy ; Prostaglandins F, Synthetic - administration &amp; dosage ; Prostaglandins F, Synthetic - therapeutic use ; Single-Blind Method ; Sulfonamides - administration &amp; dosage ; Sulfonamides - therapeutic use ; Thiophenes - administration &amp; dosage ; Thiophenes - therapeutic use ; Treatment Outcome</subject><ispartof>International ophthalmology, 1998, Vol.22 (1), p.37</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c253t-cc8dcb0acf5ca19b7c2fc7a967e71dc4fae2625789bb6dbfd9d75087c3414fab3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,4010,27900,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10090447$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kimal Arici, M</creatorcontrib><creatorcontrib>Topalkara, A</creatorcontrib><creatorcontrib>Güler, C</creatorcontrib><title>Additive effect of latanoprost and dorzolamide in patients with elevated intraocular pressure</title><title>International ophthalmology</title><addtitle>Int Ophthalmol</addtitle><description>To evaluate the additive ocular hypotensive effect of latanoprost and dorzolamide in combination, on intraocular pressure reduction in patients with elevated intraocular pressure (IOP). Thirty patients with ocular hypertension or early capsular or primary open-angle glaucoma and elevated IOP were randomly assigned to two parallel treatment groups. The treatment period was twenty days. Fifteen patients (Group 1) received latanoprost once daily during the first ten days and, in addition, dorzolamide three times daily during the second ten days. Fifteen patients (Group 2) received dorzolamide three times daily during the first ten days and, in addition latanoprost, once daily during the second ten days. IOP was measured and conjunctival hyperemia was evaluated. In Group 1, the mean IOP on day 0 was 26.8 mm Hg; on day 10, 18.7 mm Hg; and on day 20, 15.9 mm Hg. In Group 2, the mean IOP on day 0 was 26.3 mm Hg; on day 10, 21.2 mm Hg; and on day 20, 16.1 mm Hg. Both groups had clinically significant IOP-lowering effect on day 10 as compared with baseline day (30.2% and 19.4% respectively) (p&lt;0.01). When dorzolamide was added to latanoprost, the additional IOP reduction was 2.8 mm Hg (15%) (p&lt;0.01) compared with 5.1 mm Hg (24.1%) (p&lt;0.01) when latanoprost was added to dorzolamide. No local serious adverse reactions were observed. A mild but statistically significant increase in conjunctival hyperemia was seen in latanoprost applied patients. The results showed that latanoprost and dorzolamide can be combined successfully to reduce IOP with their additive effects.</description><subject>Adult</subject><subject>Carbonic Anhydrase Inhibitors - administration &amp; dosage</subject><subject>Carbonic Anhydrase Inhibitors - therapeutic use</subject><subject>Cross-Over Studies</subject><subject>Drug Synergism</subject><subject>Drug Therapy, Combination</subject><subject>Exfoliation Syndrome - drug therapy</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Glaucoma, Open-Angle - drug therapy</subject><subject>Humans</subject><subject>Intraocular Pressure - drug effects</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Ocular Hypertension - drug therapy</subject><subject>Prostaglandins F, Synthetic - administration &amp; dosage</subject><subject>Prostaglandins F, Synthetic - therapeutic use</subject><subject>Single-Blind Method</subject><subject>Sulfonamides - administration &amp; dosage</subject><subject>Sulfonamides - therapeutic use</subject><subject>Thiophenes - administration &amp; dosage</subject><subject>Thiophenes - therapeutic use</subject><subject>Treatment Outcome</subject><issn>0165-5701</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1998</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo1j81KxDAURrNQnHF07U7yAtWkaZPGXRl0FAbc6FKGm-QGI_0jSUf06S2oq7M4hw8-Qq44u-GsFLftHWdMciUVF7oRJ2TNuKyLWjG-IucpfTDGtNLyjKyWULOqUmvy1joXcjgiRe_RZjp62kGGYZzimDKFwVE3xu-xgz44pGGgE-SAQ070M-R3ih0eIaNbTI4w2rmDSKeIKc0RL8iphy7h5R835PXh_mX7WOyfd0_bdl_Ysha5sLZx1jCwvrbAtVG29FaBlgoVd7bygKUsa9VoY6Qz3mmnatYoKyq-SCM25Pp3d5pNj-4wxdBD_Dr8_xQ_ifZWIQ</recordid><startdate>1998</startdate><enddate>1998</enddate><creator>Kimal Arici, M</creator><creator>Topalkara, A</creator><creator>Güler, C</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope></search><sort><creationdate>1998</creationdate><title>Additive effect of latanoprost and dorzolamide in patients with elevated intraocular pressure</title><author>Kimal Arici, M ; Topalkara, A ; Güler, C</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c253t-cc8dcb0acf5ca19b7c2fc7a967e71dc4fae2625789bb6dbfd9d75087c3414fab3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1998</creationdate><topic>Adult</topic><topic>Carbonic Anhydrase Inhibitors - administration &amp; dosage</topic><topic>Carbonic Anhydrase Inhibitors - therapeutic use</topic><topic>Cross-Over Studies</topic><topic>Drug Synergism</topic><topic>Drug Therapy, Combination</topic><topic>Exfoliation Syndrome - drug therapy</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Glaucoma, Open-Angle - drug therapy</topic><topic>Humans</topic><topic>Intraocular Pressure - drug effects</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Ocular Hypertension - drug therapy</topic><topic>Prostaglandins F, Synthetic - administration &amp; dosage</topic><topic>Prostaglandins F, Synthetic - therapeutic use</topic><topic>Single-Blind Method</topic><topic>Sulfonamides - administration &amp; dosage</topic><topic>Sulfonamides - therapeutic use</topic><topic>Thiophenes - administration &amp; dosage</topic><topic>Thiophenes - therapeutic use</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kimal Arici, M</creatorcontrib><creatorcontrib>Topalkara, A</creatorcontrib><creatorcontrib>Güler, C</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><jtitle>International ophthalmology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kimal Arici, M</au><au>Topalkara, A</au><au>Güler, C</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Additive effect of latanoprost and dorzolamide in patients with elevated intraocular pressure</atitle><jtitle>International ophthalmology</jtitle><addtitle>Int Ophthalmol</addtitle><date>1998</date><risdate>1998</risdate><volume>22</volume><issue>1</issue><spage>37</spage><pages>37-</pages><issn>0165-5701</issn><abstract>To evaluate the additive ocular hypotensive effect of latanoprost and dorzolamide in combination, on intraocular pressure reduction in patients with elevated intraocular pressure (IOP). Thirty patients with ocular hypertension or early capsular or primary open-angle glaucoma and elevated IOP were randomly assigned to two parallel treatment groups. The treatment period was twenty days. Fifteen patients (Group 1) received latanoprost once daily during the first ten days and, in addition, dorzolamide three times daily during the second ten days. Fifteen patients (Group 2) received dorzolamide three times daily during the first ten days and, in addition latanoprost, once daily during the second ten days. IOP was measured and conjunctival hyperemia was evaluated. In Group 1, the mean IOP on day 0 was 26.8 mm Hg; on day 10, 18.7 mm Hg; and on day 20, 15.9 mm Hg. In Group 2, the mean IOP on day 0 was 26.3 mm Hg; on day 10, 21.2 mm Hg; and on day 20, 16.1 mm Hg. Both groups had clinically significant IOP-lowering effect on day 10 as compared with baseline day (30.2% and 19.4% respectively) (p&lt;0.01). When dorzolamide was added to latanoprost, the additional IOP reduction was 2.8 mm Hg (15%) (p&lt;0.01) compared with 5.1 mm Hg (24.1%) (p&lt;0.01) when latanoprost was added to dorzolamide. No local serious adverse reactions were observed. A mild but statistically significant increase in conjunctival hyperemia was seen in latanoprost applied patients. The results showed that latanoprost and dorzolamide can be combined successfully to reduce IOP with their additive effects.</abstract><cop>Netherlands</cop><pmid>10090447</pmid><doi>10.1023/A:1006176713983</doi></addata></record>
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subjects Adult
Carbonic Anhydrase Inhibitors - administration & dosage
Carbonic Anhydrase Inhibitors - therapeutic use
Cross-Over Studies
Drug Synergism
Drug Therapy, Combination
Exfoliation Syndrome - drug therapy
Female
Follow-Up Studies
Glaucoma, Open-Angle - drug therapy
Humans
Intraocular Pressure - drug effects
Male
Middle Aged
Ocular Hypertension - drug therapy
Prostaglandins F, Synthetic - administration & dosage
Prostaglandins F, Synthetic - therapeutic use
Single-Blind Method
Sulfonamides - administration & dosage
Sulfonamides - therapeutic use
Thiophenes - administration & dosage
Thiophenes - therapeutic use
Treatment Outcome
title Additive effect of latanoprost and dorzolamide in patients with elevated intraocular pressure
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